Rader, George Thomas

Rader, George Thomas is an individual health care provider with primary practice located at 1047 Edwards Ferry Rd Ne , Leesburg VA 20176-3347. He recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Rader, George Thomas can be contacted via phone (703) 737-7798.

Contact Information

Primary practice address
1047 Edwards Ferry Rd Ne Leesburg VA 20176-3347
Fax: (703) 737-7889
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 0618000333 Virginia
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X 0618000333 Virginia
Eye and Vision Services Providers / Pediatrics 152WP0200X 0618000333 Virginia
Eye and Vision Services Providers / Optometrist 152W00000X 0618000333 Virginia

Profile Details

NPI number 1528069747
LBN Legal business name Rader, George Thomas
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Jun 15th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528069747 NPPES
Virginia Other 2907 DAVIS VISION
Virginia MEDICAID 009231064 DAVIS VISION
Virginia Other 229196 DAVIS VISION
Virginia Other 410033892 DAVIS VISION
Virginia Other 25074 DAVIS VISION
Virginia Other 261285 DAVIS VISION

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